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Texas rates for HCPCS A5081

Stoma plug or seal, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $2.54 / $2.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.59 / $3.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.24 / $2.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.10 / $2.10
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $3.15 / $3.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $3.94 / $3.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.21 / $2.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.32 / $22.86 / $34.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $2.95 / $3.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $3.62 / $3.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $2.81 / $3.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.21 / $3.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.13 / $2.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $3.94